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“…Minimally invasive aortic valve procedures are challenging for concomitant Cox-Maze. Non-atriotomy techniques such as performing pulmonary vein isolation (PVI) with or without additional left atrial lesions during concomitant AVR have been described via partial sternotomy (57,58) and right minithoracotomy (59), with some approaches permitting only epicardial ablation, which has inherent challenges to transmurality. In effect, surgical ablation during minimally invasive aortic valve surgery is currently limited without a standard approach supported by safety and effectiveness data.…”
Section: Minimally Invasive Cardiac Surgery-do We Have To Give Up On ...mentioning
confidence: 99%
“…Minimally invasive aortic valve procedures are challenging for concomitant Cox-Maze. Non-atriotomy techniques such as performing pulmonary vein isolation (PVI) with or without additional left atrial lesions during concomitant AVR have been described via partial sternotomy (57,58) and right minithoracotomy (59), with some approaches permitting only epicardial ablation, which has inherent challenges to transmurality. In effect, surgical ablation during minimally invasive aortic valve surgery is currently limited without a standard approach supported by safety and effectiveness data.…”
Section: Minimally Invasive Cardiac Surgery-do We Have To Give Up On ...mentioning
confidence: 99%